Análise da Oferta e da Demanda por Serviços de Saúde de um Território Sanitário como Contribuição para a Atenção e Gestão em Saúde

Abstract

This study aimed to analyze the supply and demand for health services of health territory. An exploratory and longitudinal-retrospective study, with secondary data of Santo Amaro´s district in Sao Paulo, for the period 2000-2012, available at the Computer Science Department of the Unified Health System (DATASUS). 30 health facilities were identified, as well as the geographic concentration of most of them. The population of the city increased by 7.9%, comparing the years 2000 to 2010, while in the district analyzed the increase was 8.9%. In the place of study, the age range from 60 and over had the highest increase (36.6%), especially for those aged from 95 to 99 years increased by 109.7%. The principal causes of hospitalization were: pregnancy, childbirth and postpartum (27.6%), respiratory diseases (12.3%), digestive (12.2%), injuries, poisoning and certain other consequences of external causes (10,2%) and circulatory (10.1%) problems. The main causes of death were cardiovascular diseases (32.7%), cancer (22.6%), respiratory diseases (14.2%), external causes (9.7%) and diseases of the digestive system (5.7%). We conclude that the analyzed district offered diversity in health services. However, it had little impact on the morbidity and mortality, since there was no reduction in the pattern of illness and death of the population. Therefore, we recommend a collective discussion about the asymmetry between supply and demand for health services, so as to contribute to the effectiveness of health care and health management.